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Whether you're a CRVS expert or just starting to learn about CRVS systems, you will enjoy exploring the range of resources available here in our library. Discover more about strengthening and innovating CRVS systems, plus learn from other countries' challenges and experiences.


Addressing critical knowledge and capacity gaps to sustain CRVS system development thumbnail
Addressing critical knowledge and capacity gaps to sustain CRVS system development

This paper discusses the need for any strategy aimed at building CRVS workforce capacity to be underpinned by a repository of knowledge and body of evidence on CRVS and targeted strategies to train the CRVS workforce.

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Authors: Adair, T, Richards, N, Streatfield, A, Rajasekhar, M, McLaughlin, D, Lopez, A

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine


ANACONDA: a new tool to improve mortality and cause of death data thumbnail
ANACONDA: a new tool to improve mortality and cause of death data

This paper discusses the utility of the ANACONDA tool for countries looking to improve the reliability and timeliness of their mortality data.

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Authors: Mikkelsen, L, Moesgaard, K, Hegnauer, M, Lopez, A

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine


Automated verbal autopsy: from research to routine use in civil registration and vital statistics systems thumbnail
Automated verbal autopsy: from research to routine use in civil registration and vital statistics systems

This paper reports on the application of the SmartVA tool for the collection and analysis of COD data in four countries (Myanmar, Papua New Guinea, Bangladesh, Philippines), as part of routine CRVS activities.

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Authors: Hazard, R, Buddhika, M, Hart, J, Chowdhury, H, Firth, S, Joshi, R, Avelina, F, Segarra, A, Sarmiento, D C, Azad, A K, Ashrafi, S A A, Bo, K S, Kwa, V, Lopez, A 

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine


Better data for better outcomes: the importance of process mapping and management in CRVS systems thumbnail
Better data for better outcomes: the importance of process mapping and management in CRVS systems

This paper discusses the importance of process management to strengthen the efficiency and quality of CRVS systems, presenting experiences from countries supported through the Bloomberg Philanthropies Data for Health Initiative at the University of Melbourne.

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Authors: Cobos Muñoz, D, de Savigny, D, Sorchik, R, Bo, K S, Hart, J, Kwa, V, Ngomituje, X, Richards, N, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine


CRVS and health
Civil registration and vital statistics in health systems

Over the past decades, the health sector has forged a widespread network of health facilities and community health workers who carry out key public health interventions, aiming to reach the most marginalized populations with life-saving interventions. In many countries, health networks offer untapped potential to leverage health services for the notification and registration of births and deaths.

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Authors: Jackson D, Wenz K, Muniz M, Abouzahr C, Schmider A, Braschi MW, Kassam N, Diaz T, Mwamba R, Setel P, Mills S

Publication date: December 2018

Resource type: CRVS peer-reviewed publication

Source: Bulletin of the World Health Organization http://dx.doi.org/10.2471/BLT.18.213090


Flaxman_thumbnail
Collecting verbal autopsies: improving and streamlining data collection processes using electronic tablets

As countries increase verbal autopsy surveillance, it is important to consider the best way to design sustainable systems for data collection. Electronic data capture has the potential to greatly reduce the time and costs associated with data collection. For long-term, large-scale surveillance required by national vital statistical systems, electronic data capture reduces costs and allows data to be available sooner. This study collected verbal autopsy interviews using paper and pencil, and using electronic tablets at two sites, and measured the cost and time required to process the surveys for analysis.

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Authors: Flaxman AD, et al

Publication date: 2018

Resource type: CRVS peer-reviewed publication

Source: Population Health Metrics. 2018; 16(3) [creative commons attribution license https://creativecommons.org/licenses/by/4.0/]


Estimating the completeness of death registration: An empirical method
Estimating the completeness of death registration: An empirical method

Many national and subnational governments need to routinely measure the completeness of death registration for monitoring and statistical purposes. Existing methods, such as death distribution and capture-recapture methods, have a number of limitations such as inaccuracy and complexity that prevent widespread application. This paper presents a novel empirical method to estimate completeness of death registration at the national and subnational level.

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Authors: Adair T, Lopez AD

Publication date: May 2018

Resource type: CRVS peer-reviewed publication

Related resources: Summary: A new method for estimating the completeness of death registration

Source: PLoS ONE


Strengthening mortality data for health policy and planning: the Bloomberg Data for Health Initiative in Latin America (Portuguese) thumbnail
Fortalecimento dos dados de mortalidade para políticas e planejamento de saúde: a Iniciativa Bloomberg para a Saúde na América Latina thumbnail
Fortalecimento dos dados de mortalidade para políticas e planejamento de saúde: a Iniciativa Bloomberg para a Saúde na América Latina

Portuguese translation of paper: Strengthening mortality data for health policy and planning: the Bloomberg Data for Health Initiative in Latin America. This paper charts efforts and outcomes achieved through the Bloomberg Data for Health Initiative to improve mortality data in four Latin American countries since 2014: Brazil, Peru, Ecuador and Colombia.

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Authors: McLaughlin, D and Lopez, A

Publication date: December 2019

Resource type: CRVS peer-reviewed publication

Related resources: Strengthening mortality data for health policy and planning: the Bloomberg Data for Health Initiative in Latin America [English] 

Source: Rev. bras. epidemiol. vol.22  supl.3 Rio de Janeiro  2019  Epub Dec 05, 2019


WHOBulletin
How can we accelerate progress on civil registration and vital statistics?

The first in a series of papers published by the WHO Bulletin looking at how the health sector can contribute towards strengthening CRVS systems and increasing birth and death registration coverage.

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Authors: AbouZahr C, Bratschi MW, Cobos Munoz D, Santon R, Richards N, Riley I, Setel P

Publication date: April 2018

Resource type: CRVS peer-reviewed publication

Source: Bulletin of the World Health Organization http://dx.doi.org/10.2471/BLT.18.211086


How useful are registered birth statistics for health and social policy? A global systematic assessment of the availability and quality of birth registration data thumbnail
How useful are registered birth statistics for health and social policy? A global systematic assessment of the availability and quality of birth registration data

Since 1980, approximately one billion births were registered and shared in public databases. Compared to estimates of fertility, this represents only 40.0% of total births in the peak year, 2011. Approximately 74 million births (53.1%) per year occur in countries whose systems do not systematically register them and release the aggregate records. Considering data quality, timeliness, and completeness in country-years where data are available, only about 12 million births per year (8.6%) occur in countries with high-performing registration systems. This study highlights the gaps in available data.

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Authors: Phillips DE, Adair T, Lopez AD

Publication date: 2019

Resource type: CRVS peer-reviewed publication

Source: Population Health Metrics. 2019; 16(21) [creative commons attribution license https://creativecommons.org/licenses/by/4.0/]


WHO Bulletin: Improving coverage of civil registration and vital statistics, Bangladesh thumbnail
Improving coverage of civil registration and vital statistics, Bangladesh

In 2016, the government of Bangladesh introduced a pilot project to strengthen the civil registration and vital statistics system and generate cause of death data in Kaliganj Upazila. This paper presents the relevant changes and lessons learnt resulting from this intervention.

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Author: Moyeen Uddin, Shah Ali Akbar Ashrafi, Abul Kalam Azad, Anir Chowdhury, Hafizur Rahman Chowdhury, Ian Douglas Riley, Andres Montes, Martin Bratschi, Carla AbouZahr & Zeaul Alam
Publication date: September 2019
Resource type: CRVS peer-reviewed publication
Related resources: CRVS country overview: Bangladesh


Improving medical certification of cause of death: effective strategies and approaches based on experiences from the Data for Health Initiative thumbnail
Improving medical certification of cause of death: effective strategies and approaches based on experiences from the Data for Health Initiative

Accurate completion of the medical certificate of cause of death should be a relatively straightforward procedure for physicians, but mistakes are common. This paper presents three training strategies implemented in five countries supported by the Bloomberg Philanthropies Data for Health (D4H) Initiative at the University of Melbourne (UoM) and evaluate the impact on the quality of certification.

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Authors: Hart, J, Sorchik, R, Bo, K S, Chowdhury, H R, Gamage, S, Joshi, R, Kwa, V, Li, H, Mahesh, B, McLaughlin, D, Mikkelsen, L, Miki, J, Napulan, R, Rampatige, R, Reeve, M, Sarmiento, C, War, N S, Richards, N, Riley, I D, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine


Improving the quality of cause of death data for public health policy: are all 'garbage' codes equally problematic? thumbnail
Improving the quality of cause of death data for public health policy: are all 'garbage' codes equally problematic?

Commentary on a classification of garbage codes that helps to identify codes unhelpful for public health policy and which are used frequently by physicians to certify deaths. This typology can be used by countries to identify the pattern and extent of garbage coding in their cause of death data.

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Authors: Neghavi, M, Richards, N, Chowdhury, H, Eynstone-Hinkins, J, Franca, E, Hegnauer, M, Khosravi, A, Moran, L, Mikkelsen, L, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine


Integrating community-based verbal autopsy into CRVS: System-level considerations
Integrating community-based verbal autopsy into CRVS: System-level considerations

This document provides recommendations for integrating VA processes into CRVS, which involves consideration of system-wide integration issues.

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Authors: de Savigny D, Riley I, Chandramohan D, Odhiambo F, Nichols E, Notzon S, AbouZahr C, Mitra R, Cobos Munoz D, Firth S, Maire N, Sankoh O, Bronson G, Setel P, Byass P, Jakob P, Boerma T, Lopez AD

Publication date: January 2017

Resource type: CRVS peer-reviewed publication

Related resources: Summary: Integrating verbal autopsy into CRVS systems

Source: Global Health Action


Investigation of garbage code deaths to improve the quality of cause of death in Brazil thumbnail
Investigation of garbage code deaths to improve the quality of cause-of-death in Brazil: results from a pilot study

Reliable cause-of-death statistics are an important source of information on trends and differentials in population health. In Brazil, the Mortality Information System is responsible for compiling cause of death data. Despite the success in reducing R-codes ill-defined causes of death, other garbage codes, classified as causes that cannot be the underlying cause of death, according to the Global Burden of Disease study, remain a challenge. The Ministry of Health aims to decrease the proportion of all garbage codes, and a pilot study tested a comprehensive strategy to investigate garbage code deaths that occurred in 2015. This paper, a CRVS Fellowship project, presents the results of this pilot study.

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Authors: Barbosa de Lima, R, Frederes, A, Marinho, M, Candida de Cunha, C, Adair, T, Barboza Franca, E

Publication date: November 2019

Resource type: CRVS peer-reviewed publication

Source: Rev. bras. epidemiol. [online]. 2019, vol.22, suppl.3


Preliminary results of strengthening the national death registry information system of Peru thumbnail
Preliminary results of strengthening the national death registry information system of Peru

Peru has low coverage of deaths with a cause (54%) and about 30% of causes of death are classified as poorly-defined or not very useful for the formulation of public policies. In response to these problems, the Ministry of Health together with other government agencies, with the support of D4H, is implementing the National Death Registry Information System (SINADEF). The objective of this article is to describe the process of strengthening the mortality information system in Peru, focused on the implementation of SINADEF. Since the implementation of SINADEF in August 2016 until July 2018, 28,407 users of the SINADEF application have been created and a total of 122,411 deaths have been registered. The quality of data recording, including the cause of death, has been improved, while low coverage of deaths with a cause of death still persists.

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Authors: Vargas-Herrera J, Ruiz KP, Nunez GG, Ohno JM, Perez-Lu, JE, Huarcaya WV, Clapham B, Cortez-Escalante J

Publication date: October 2018

Resource type: CRVS peer-reviewed publication

Related resources: Peru: An exceptional example of CRVS system advancement

Source: Rev Peru Med Exp Salud Publica. 2018; 35(3):505-14


Reducing ignorance about who dies of what: research and innovation to strengthen CRVS systems thumbnail
Reducing ignorance about who dies of what: research and innovation to strengthen CRVS systems

Overview paper for a CRVS series published in BMC Medicine. The article collection provides an overview of recent innovations, progress, viewpoints and key areas in which action is still required – notably around the need for better systems and procedures to notify the fact of death and to reliably diagnose its cause, both for deaths in hospital and elsewhere.

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Authors: Lopez, A D, McLaughlin, D, Richards, N

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine


Resultados preliminares del fortalecimiento del Sistema Informatico Nacional de Defunciones thumbnail
Resultados preliminares del fortalecimiento del Sistema Informatico Nacional de Defunciones

El Perú tiene una baja cobertura de defunciones con causa de defunción (54 %) y una mala calidad del registro de las causas de defunción, mas de 45 % de las causas de muerte se clasifican como mal definidas o poco útiles para la formulación de políticas públicas. En respuesta a estos problemas, el Ministerio de Salud, junto a otras agencias gubernamentales, con el apoyo de la Iniciativa Bloomberg «Información para la Salud» está implementando el Sistema Informático Nacional de Defunciones (SINADEF). El objetivo de este artículo es describir el proceso de fortalecimiento del sistema de información de la mortalidad en Perú, centrado en la implementación del SINADEF.

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Authors: Vargas-Herrera J, Ruiz KP, Nunez GG, Ohno JM, Perez-Lu, JE, Huarcaya WV, Clapham B, Cortez-Escalante J

Publication date: October 2018

Resource type: CRVS peer-reviewed publication

Related resources: Peru: An exceptional example of CRVS system advancement

Source: Rev Peru Med Exp Salud Publica. 2018; 35(3):505-14


Saving lives through certifying deaths: assessing the impact of two interventions to improve cause of death data in Perú thumbnail
Saving lives through certifying deaths: assessing the impact of two interventions to improve cause of death data in Perú

Mortality statistics derived from cause of death data are an important source of information for population health monitoring, priority setting and planning. However, the quality of cause of death data is poor. In August 2016, the Ministry of Health of Perú decided to make two specific interventions to improve cause of death data: to introduce an online death certification system and to train doctors in standard death certification practices. This study demonstrates how the two interventions improved the correctness of death certificates. The study also provides evidence on necessary changes to the training program to address the poor certification practices that have remained after implementation of the online system.

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Authors: Miki J, Rampatige R, Richards N, Adair T, Cortez-Escalante J, Vargas-Herrera J

Publication date: December 2018

Resource type: CRVS peer-reviewed publication

Related resources: Fellowship profile: Assessing the impact of death certification interventions in Peru

Source: BMC Public Health https://doi.org/10.1186/s12889-018-6264-1 


Strengthening mortality data for health policy and planning: the Bloomberg Data for Health Initiative in Latin America thumbnail
Strengthening mortality data for health policy and planning: the Bloomberg Data for Health Initiative in Latin America

This paper charts efforts and outcomes achieved through the Bloomberg Data for Health Initiative to improve mortality data in four Latin American countries since 2014: Brazil, Peru, Ecuador and Colombia.

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Authors: McLaughlin, D and Lopez, A

Publication date: December 2019

Resource type: CRVS peer-reviewed publication

Related resources: Strengthening mortality data for health policy and planning: the Bloomberg Data for Health Initiative in Latin America [Portuguese] 

Source: Rev. bras. epidemiol. vol.22  supl.3 Rio de Janeiro  2019  Epub Dec 05, 2019


The 'Ten CRVS Milestones' framework for understanding CRVS systems
The 'Ten CRVS Milestones' framework for understanding CRVS systems

Describes how CRVS systems function, including key processes that must be accomplished. Provides an understanding of system strengths and weaknesses.

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Authors: Muñoz DC, AbouZahr C, de Savigny D

Publication date: February 2018

Resource type: CRVS peer-reviewed publication

Related resources: Understanding CRVS systems: The importance of process mapping

Source: BMJ Global Health


Where there is no hospital: improving the notification of community deaths thumbnail
Where there is no hospital: improving the notification of community deaths

This paper presents case studies in four countries (Bangladesh, Colombia, Myanmar and Papua New Guinea) that were part of the initial phases of the Bloomberg Data for Health Initiative at the University of Melbourne, each of which faces unique challenges to community death registration.

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Authors: Adair, T, Rajasekhar, M, Bo, K S, Hart, J, Kwa, V, Mukut M A A, Reeve, M, Richards, N, Ronderos-Torres, M, de Savigny, D, Cobos Muñoz, D, Lopez, A D

Publication date: March 2020

Resource type: CRVS peer-reviewed publication

Source: BMC Medicine

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